Copyright
©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2015; 7(12): 394-397
Published online Dec 27, 2015. doi: 10.4240/wjgs.v7.i12.394
Published online Dec 27, 2015. doi: 10.4240/wjgs.v7.i12.394
Gallstone ileus with multiple stones: Where Rigler triad meets Bouveret’s syndrome
Vinaya Gaduputi, Hassan Tariq, Anil Dev, Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, United States
Amir A Rahnemai-Azar, Daniel T Farkas, Department of Surgery, Bronx Lebanon Hospital Center, Bronx, NY 10457, United States
Author contributions: All authors had made contributions to the article and have reviewed it before submission.
Institutional review board statement: This case report was exempted from our Institutional Review Board as per its policy.
Informed consent statement: Informed consent for participation was obtained from this patient.
Conflict-of-interest statement: None of the authors have any financial conflicts of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Hassan Tariq, MD, Department of Medicine, Bronx Lebanon Hospital Center, 1650 Selwyn Ave, Suite #10C, Bronx, NY 10457, United States. htariq@bronxleb.org
Telephone: +1-718-9601234 Fax: +1-718-9602055
Received: April 28, 2015
Peer-review started: April 30, 2015
First decision: August 4, 2015
Revised: September 17, 2015
Accepted: October 16, 2015
Article in press: October 19, 2015
Published online: December 27, 2015
Peer-review started: April 30, 2015
First decision: August 4, 2015
Revised: September 17, 2015
Accepted: October 16, 2015
Article in press: October 19, 2015
Published online: December 27, 2015
Core Tip
Core tip: Gallstone ileus is an uncommon cause of small bowel obstruction. The classic finding of Rigler triad is often seen. Bouveret’s syndrome is a subset of gallstone ileus, and usually presents with gastric outlet obstruction as opposed to small bowel obstruction. We present a case where there were multiple stones, each causing obstruction in different locations. Clinicians need to be aware of the possibility of multiple stones when deciding treatment options.